14D2207869 CLIA NUMBER - CHILDREN'S HABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 14D2207869
  • Facility Name: CHILDREN'S HABILITATION CENTER
  • Facility Address: 121 W 154TH ST
    HARVEY, IL
    ZIP 60426
  • Facility Phone: 708 596-2220
  • Facility Type: Other - MC/DD FACILITY
  • Facility Type: Waiver
  • Lab Director: MATTISHA BATES
  • NPI Number: 1972531341
  • Taxonomy: 3140N1450X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2207869
LAB Type Other - MC/DD FACILITY
Facility Name CHILDREN'S HABILITATION CENTER
Street 121 W 154TH ST
City HARVEY
State IL
ZIP 60426
Phone 708 596-2220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Other - MC/DD FACILITY
Lab Director MATTISHA BATES

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This page was last updated on: 9/29/2025